These are the slides for module one of The School for Health and Care Radicals, a five week virtual programme, designed to equip people across the health and care system with the core skills to improve their skills as change agents. It supports NHS Change Day 2014, the grassroots movement in which everyone who values the NHS can make a pledge of action to improve things for patients and the health and care system.
Big change only happens in health and care because of heretics and radicals: passionate people who are willing to take responsibility and work with others to make change happen. Being a radical isn't related to hierarchy or position and you don't have to work in the NHS or social care to qualify as one. Registrants to the school so far include patients and carers, students, senior leaders, improvement facilitators and clinical and care staff.
Starting on 31 January, there will be a live weekly web seminar which will be available to 'listen again', supported by a raft of other opportunities, including coaching and mentoring, virtual discussions and tweet chats, and an ever- expanding portal of useful resources.
Programme
The programme focuses on five modules over five weeks, 9:30 to 11:00 am GMT
• Friday 31 January: Being a health and care radical: change starts with me
• Friday 7 February: Forming communities: building alliances for change
• Friday 14 February: Rolling with resistance
• Friday 21 February: Making change happen
• Friday 28 February: Moving beyond the edge
Tweetchat
We will run a tweetchat each Wednesday from 16:00 to 17:00 GMT, based on the content of the module from the previous Friday. A tweetchat is a facilitated conversation using Twitter. The hashtag we will use for the tweetchats is #SHCRchat. The dates for the tweetchats are:
• 5 February
• 12 February
• 19 February
• 26 February
• 5 March
There is no charge to join the School of Health and Care Radicals and it is open to all, whatever your role or level, and whether or not you work in the NHS. There will be additional learning materials and opportunities in addition to the web seminars but there is no set syllabus for learners to work through - you can join for as much or as little as you want.
More information: http://changeday.nhs.uk/healthcareradicals
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Module 1: Being a health and care radical - change starts with me
1. The School for Health and Care
Radicals
www.changeday.nhs.uk/healthcareradicals
Module 1:
Being a health and care radical:
Change starts with me
Supported by
#NHSChangeDay #SHCRchat
2. Welcome to the School for Health and Care
Radicals – a global community of change agents
• Nearly 1000 registrants for The School for Health and Care
Radicals
• Nearly 90 volunteer coach and mentor volunteers
• From 22 countries, including:
Australia, Belgium, Canada, Czech Republic, Denmark, England,
France, Germany, Ireland, Netherlands, New Zealand, Norway,
Northern Ireland, Philippines, Saudi Arabia, Scotland, Spain,
Sweden, Ukraine, United Arab Emirates, USA, Wales
#NHSChangeDay #SHCRchat
3. Why the School for Health & Care Radicals?
It’s tough being a change agent in health and care, particularly
when other people don’t always get it or want to change.
Yet big change happens in health and care only because of
heretics and radicals: passionate people who are willing to take
responsibility for change. We are people who support the goals
of our health and care systems, but also want to change
existing thinking and practice and improve care for patients
and people who use services.
The School for Health and Care Radicals provides tools, ideas
and connections with a community of radicals to help us thrive
and survive as agents of positive change
#NHSChangeDay #SHCRchat
5. Joining in today and beyond
• Please use the chat box to contribute continuously during the
web seminar
• Please tweet using hashtags #NHSChangeDay and #SHCRchat
• We will produce summaries of the discussions on each module
using Storify.com and put on the website
• The conversation continues on the live chat forum at
www.changeday.nhs.uk/healthcareradicalsforum
#NHSChangeDay #SHCRchat
6. for
today
• Background to The School for Health and Care
Radicals
• Learning processes
• Context: emerging directions in transformation and
change
• Some challenges for health and care radicals
• The difference between a radical and a troublemaker
• How to thrive and survive as a radical
• Questions and call to action
#NHSChangeDay #SHCRchat
Source of image: www.freshnessmag.com
7. Why are we here? Why are you here?
#NHSChangeDay #SHCRchat
8. Why did you join the school?
‘I want to:
• be part of changing the NHS and to learn how to be more
effective as a change maker’
• learn how to implement change effectively and encourage
others to join the vision’
• help others realise they're able to make changes without
seeking permission first’
• network with other healthcare radicals
#NHSChangeDay #SHCRchat
9. Why did you join the school?
‘I want to:
• learn, gain more inspiration and courage to continue what I
started’
• share the joy of participating in NHS Change Day
• share, be inspired and inspire others to support and coach
others to be the best they can with the aim of improving the
NHS we love and cherish
• drive quality improvement, promote harm free care, make
the improvement sustainable, remember patients are at the
centre of everything we do
• spread change in a stealthy way!’
#NHSChangeDay #SHCRchat
10. Modules
31st January:
Being a health and care radical:
change starts with me
7th February: Forming communities: building
alliances for change
14th February: Rolling with resistance
21st February: Making change happen
28th February: Moving beyond the edge
#NHSChangeDay #SHCRchat
11. The genesis of the School
NHS Change Day
2013
2013
Applying
community organising
principles to
healthcare
2010
improvement
“A one day school
for organisational
radicals”
#NHSChangeDay #SHCRchat
2014
“The School for
Health and Care
Radicals”
2012
“A school for
healthcare
radicals”
2003
2002
Applying
social movement
thinking to
healthcare
improvement
13. The school is based on two kinds of learning
Transactional learning
Transformational learning
A “toolkit” of ideas &
approaches
Learning through
motivation, practice &
feedback
Seeks to transfer useful
knowledge
Seeks to transform beliefs
& underlying assumptions
Learning events,
presentations & materials
Experiential, interactive &
action-based
Generates understanding of
“what to do”
Generates increased
capacity in “how to do it”
Source: #SHCRchat
#NHSChangeDayJohn Wenger https://medium.com/corporate-learning/3deb1bb2e865
14. What the school can offer
What you might do
Take part in the programme at
Five learning modules, live on
whatever level of engagement
Friday mornings and available 24/7
you want
Materials, inc a weekly study guide
Encourage others in your
to back up the modules
organisation or locality to join
changeday.nhs.uk/healthcareradicals
the school
A weekly telephone discussion 7 Create your own local learning
8pm on Sunday evenings (if
set or group
demand)
Join the Change Day
A weekly tweetchat, 4-5pm on
movement and mobilise
Wednesdays #SCHRchat
others
A chat forum
Keep a learning log, complete
www.changeday.nhs.uk/healthcareradicalsforum
all modules and action your
Potential to link you and/or your
Change Day pledges to gain
group with a mentor
certification
#NHSChangeDay #SHCRchat
15. Emerging themes in change and transformation
Dominant
approach
Organisation
Power through hierarchy
Mission and vision
Making sense through
rational argument
Leadership-driven (top
down) innovation
Tried and tested,
based on experience
Transactions
#NHSChangeDay #SHCRchat
Emerging
direction
Community
Power through connection
Shared purpose
Making sense through
emotional connection
Viral (grass-roots
driven) creativity
“ Open” approaches , sharing
ideas & data, co-creating
change
Relationships
Source: @HelenBevan
16. John Kotter: “Accelerate!”
• We won’t create big change through hierarchy
on its own
• We need hierarchy AND network
• Many change agents, not just the usual few
• Changing our mindset
Source of
• From “have to” to “want to”
• Head and heart, not just head
#NHSChangeDay #SHCRchat
image:www.slideshare.net/m
exicanwave/champions-trolls10-years-of-the-cipd-onlinecommunity
17. The Network Secrets of Great Change Agents
Julie Battilana &Tiziana Casciaro
1. As a change agent, my centrality in the informal
network is more important than my position in
the formal hierarchy
2. If you want to create small scale change, work
through a cohesive network
If you want to create big change, create
bridge networks between disconnected groups
#NHSChangeDay #SHCRchat
18. Discussion
What are the implications of the
“emerging direction” for the way
change agents work?
Dominant approach
Organisation
Power through hierarchy
Mission and vision
Emerging direction
Community
Power through connection
Shared purpose
Making sense through
rational argument
Making sense through
emotional connection
Leadership-driven (top
down) innovation
Viral (grass-roots
driven) creativity
Tried and tested,
based on experience
Transactions
#NHSChangeDay #SHCRchat
“ Open” approaches , sharing
ideas & data, co-creating change
Relationships
19. is the new normal!
“By questioning existing ideas, by
opening new fields for action, change
agents actually help organisations
survive and adapt to the 21st Century.”
Céline Schillinger
#NHSChangeDay #SHCRchat
Image by neilperkin.typepad.com
20. Across the world, the change agent
movement is exploding!
@chagww
Changeagentsworldwide.com
@rebelsatwork rebelsatwork.com
@corprebels
Corporaterebelsunited.com
#NHSChangeDay #SHCRchat
24. “There is nothing more
difficult to carry out, nor
more doubtful of success,
nor more dangerous to
handle, than to initiate a
new order of things. For the
reformer has enemies in all
those who profit by the old
order, and only lukewarm
defenders in all those who
profit by the new.”
Niccolo Machiavelli 15th century
@helenbevan
#NHSChangeDay #SHCRchat
25. We need to be boatrockers!
• Walk the fine line between
difference and fit, inside and
outside, rock the boat but
manage to stay in it
• Able to challenge the status
quo when we see that there
could be a better way
• Conform AND rebel
• Capable of working with others
to create success NOT a
destructive troublemaker Source: Debra Meyerson
@helenbevan
#NHSChangeDay #SHCRchat
26. What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
Source: adapted from Debra E Meyerson
@helenbevan
#NHSChangeDay #SHCRchat
27. What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
Source: adapted from Debra E Meyerson
@helenbevan
#NHSChangeDay #SHCRchat
30. What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
Source: adapted from Debra E Meyerson
@helenbevan
#NHSChangeDay #SHCRchat
31. What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values
and commitments and still survive
Source: adapted from Debra E Meyerson
@helenbevan
#NHSChangeDay #SHCRchat
32. What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values
and commitments and still survive
3. stridently challenge the status quo in a manner
which is increasingly radical and self-defeating
Source: adapted from Debra E Meyerson
@helenbevan
#NHSChangeDay #SHCRchat
33. What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values
and commitments and still survive
3. stridently challenge the status quo in a manner
which is increasingly radical and self-defeating
this just confirms what we already know – that
we don’t belong
Source: adapted from Debra E Meyerson
@helenbevan
#NHSChangeDay #SHCRchat
34. Sometimes people see us radicals as
troublemakers
Rebel
@helenbevan
#NHSChangeDay #SHCRchat
Source : Lois Kelly www.foghound.com
35. Discussion
• What are your insights around “radicals” and
“troublemakers”?
• What moves people from being “radical” to
“troublemaker”?
• How do we protect against this?
@helenbevan
#NHSChangeDay #SHCRchat
36. Valuing radicals
• “New truths begin as heresies” (Huxley, defending
Darwin’s theory of natural selection)
• Big things only happen in organisations because of
heretics and radicals.
GALILEO DESCRIBES HIS DISCOVERIES TO THE CHURCH ESTABLISHMENT
@helenbevan
#NHSChangeDay #SHCRchat
37. "There’s only one
corner of the
universe you can
be certain of
improving, and
that’s your own
self."
Aldous Huxley
Source of image: timcoffeyart.wordpress.com
@helenbevan
@HelenBevan @RobertVarnam #IHI25Forum #ChangeAgents
38. ‘I do not think you can really deal with
change without a person asking real
questions about who they are and how they
belong in the world’
David Whyte, The Heart Aroused 1994
@helenbevan
#NHSChangeDay #SHCRchat
Source of image: fistfuloftalent.com
39. History tells us that personal
transformation comes before
organisational or system transformation
If we want to play our role, we have to focus
deeply on our own perspective and the ways
we interact with and influence
others. The more that we can
unleash that powerful reservoir
of energy for change, the more
our influence and impact will
grow.
http://blogs.bmj.com/quality/2013/08/19/a-call-to-action-helen-bevans-blog-2/
@helenbevan
#NHSChangeDay #SHCRchat
Image from novamagazine.com
40. Five things we know about successful
boat rockers
CHANGE
BEGINS WITH
1. Driven by conviction and values
me
2. strong sense of “self-efficacy”
belief that I am personally able to create the change
3. able to join forces with others to create action
4. able to achieve small wins which create a sense
of hope, self-efficacy and confidence
5. More likely to view obstacles as challenges to
overcome
@helenbevan
#NHSChangeDay #SHCRchat
Source: adapted from Debra E Meyerson
41. Self-efficacy
There is a positive, significant
relationship between the
self-efficacy beliefs of a
change agent and her/his
ability to facilitate change
and get good outcomes
@helenbevan
#NHSChangeDay #SHCRchat
Source of image:www.h3daily.com
42. What’s the difference between
self efficacy
and
self esteem,
self belief,
self-confidence?
@helenbevan
#NHSChangeDay #SHCRchat
44. Source: @NHSChangeDay
What is the issue here?
“permission” ?
(externally generated)
or
Self efficacy ?
@helenbevan
#NHSChangeDay #SHCRchat
(internally generated)
45. Brainstorm
What are some ways that health and care
radicals can build self-efficacy?
@helenbevan
#NHSChangeDay #SHCRchat
46. Building self-efficacy: some tactics
1. Invest in your own change agent development (modules 2-5)
• create the conditions where success is more likely to happen
2. Create change one small step at a time
3. Reframe your thinking:
• failed attempts are learning opportunities
• uncertainty becomes curiousity
4. Make change (and learning cycles from change) routine
rather than an exceptional activity
5. Get social support
6. Learn from the best
7. Get people whose opinions you value to encourage you
(mentor?)
@helenbevan
#NHSChangeDay #SHCRchat
48. Five things we know about successful
boat rockers
CHANGE
BEGINS WITH
1. Driven by conviction and values
me
2. strong sense of “self-efficacy”
belief that I am personally able to create the change
3. able to join forces with others to create action
4. able to achieve small wins which create a sense
of hope, self-efficacy and confidence
5. More likely to view obstacles as challenges to
overcome
@helenbevan
#NHSChangeDay #SHCRchat
Source: adapted from Debra E Meyerson
49. The most effective change agents:
• don’t waste their time and energy
blaming and complaining
• take calculated risks to achieve the
outcomes they sought
Now is the time to plan steps to keep
moving myself forward, with positive
momentum, as a health and care radical
@helenbevan
#NHSChangeDay #SHCRchat
50. Three assumptions for health and care
radicals
1. Assume that everyone has a noble intention.
2. When people “resist” change is it more likely
to be a result of their interpersonal
interaction with the change process than
their innate character traits (“a bad change
process not a difficult person”).
3. My role as a change agent is about
alignment, not judgement.
@helenbevan
#NHSChangeDay #SHCRchat
Source of image:help.adobe.com
51. Being a great change agent is about knowing, doing,
living and being improvement
@helenbevan
#NHSChangeDay #SHCRchat
52. Being a great change agent is about knowing, doing,
living and being improvement
@helenbevan
#NHSChangeDay #SHCRchat
53. We have a choice
“This is the true joy of life, the being used up for a
purpose recognised by yourself as a mighty one,
being a force of nature instead of a feverish, selfish
little clot of ailments and grievances, complaining
that the world will not devote itself to making you
happy.”
George Bernard Shaw
@helenbevan
#NHSChangeDay #SHCRchat
54. Outwitted
He drew a circle that shut me out Heretic, rebel, a thing to flout.
But Love and I had the wit to win:
We drew a circle that took him in.
Edward Markham
@helenbevan
#NHSChangeDay #SHCRchat
55. Calls to action campaigns for this week
Post these or similar actions as a pledge on the NHS
Change Day pledge wall
http://changeday.nhs.uk/wall
• Reflect on your own role/knowledge/skills as a
health and care radical and create an action plan
to “start with me”
• Discuss tactics for rocking the boat and staying in
it with other radicals
• Identify and support others who are at risk of
crossing the line from “radical” to “troublemaker”
@helenbevan
#NHSChangeDay #SHCRchat
56. Next opportunities for learning
• Sunday 2nd February
19:00-20:00 conference call discussion of
module one
• Wednesday 5th February
16:00-17:00 Tweet chat #SHCRchat
• Next Friday morning module 2:
Building alliances: forming communities
for change
@helenbevan
#NHSChangeDay #SHCRchat
57. Questions for reflection
1. What are the opportunities for me to build my
perspectives and skills as an agent of change?
2. How can I build self efficacy as a change agent?
3. How do I move beyond skills and knowledge of
change to live and be change?
4. Who can help and support me as a change
agent?
5. What are the implications for the way I work?
@helenbevan
#NHSChangeDay #SHCRchat